CAUTI Collaborative. Objectives. Speaker. Panelists



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CAUTI Collaborative Discuss the risk of unnecessary use of Foley catheters Identify the appropriate indicators for use of a Foley catheter Define how to apply these indicators within your hospital or unit List strategies for avoiding the use of Foley catheters in patients that do not have a true medical indicator Mohamed Fakih, MD Dr. Mohamad Fakih is an Associate Professor of Medicine at Wayne State University School of Medicine, Detroit, Michigan. He is board certified in Internal Medicine, Infectious Diseases, and Quality (subspecialty in patient safety). He also carries a Masters in Public Health (Health Management and Policy) from University of Michigan, Ann Arbor. His interest focuses on processes to improve patient safety, particularly methods to prevent hospital acquired infections. Dr Fakih is the hospital epidemiologist and the medical director of Infection Prevention and Control at St. John Hospital and Medical Center (SJH&MC) in Detroit, MI, an 804 bed tertiary care hospital. He also serves as the chairperson for St. John Providence Health Infection Prevention and Control committee, and co-chairs the Infection Prevention Steering Committee for Ascension comprehensive toolkit to promote the appropriate utilization of urinary catheters in the hospital setting. The toolkit was adopted by Ascension health and Michigan Hospital Association hospitals. Currently, he is working on a toolkit to reduce unnecessary urinary catheter placement in the emergency department and a toolkit for improving the care of intravenous catheters in the hospital. Lynn Roser, MSN, RN Nurse Epidemiologist Central Baptist Hospital Megan Walker, MSN, RN Director of Quality and Risk Management Continuing Care Hospital Tina Hix, RN Clinical Services Manager Marcum and Wallace Memorial Hospital Irvine, Kentucky

Surgical Site Infection Collaborative Discuss the significance and prevalence of surgical site infections (SSIs) Describe safe surgery practices for preventing SSIs Identify specific challenges experienced by surgery and other hospital staff in maintaining safe surgery practices List one process and one outcome improvement measure related to SSIs Linda Goss, RN, APRN Ms. Goss is the Director of Infection Prevention and Control and Vascular Access Specialist Team at the University of Louisville Hospital. Ms. Goss is an instructor at Bellarmine University and the University Of Louisville School Of Nursing. Ms. Goss did her undergraduate work at the University of Louisville and completed her Master of Science in Nursing, Adult Nurse Practitioner degree from Northern Kentucky University. Jeannie Smith, RN CPHQ Clinical Data Coordinator St. Elizabeth Healthcare Florence Florence, Kentucky

VTE Collaborative Explain options to standardize VTE prevention interventions Describe the components of mechanical and pharmacological prophylaxis Explain the role of the physician, pharmacist, nurse and patient in this process Vicky Agramonte, RN, MSN Victoria Agramonte, RN, MSN, is employed by IPRO, the Quality Improvement Organization (QIO) for New York State, and was most recently the Project Director of the AHRQ-funded QIO Learning Network project. Through this project, Mrs. Agramonte, has become an expert in large scale dissemination of best practices in clinical topic areas, such as preventing Hospital-Acquired Venous Thromboembolism, Improvement in Medication Reconciliation and Management, Care Transitions and other topics. She has served on the Center for Disease Control and Prevention Expert Panel as an Implementation Specialist in VTE Prevention. Mrs. Agramonte has 12 professional years working in quality improvement and over 18 years experience in caring for patients. Alissa Langley, PharmD Clinical Pharmacy Specialist Continuing Care Hospital Tammye Hood, RN, BSN Risk Manager/Infection Control Preventionist/Safety Officer Saint Joseph Mount Sterling Mount Sterling, Kentucky

CLABSI Collaborative Upon completion of this session, participants will be able to: State the current evidence based practice measure to reduce CLABSI Identify methods for standardization to assure each patient receives the evidence based practice bundle using a checklist Determine the best method to audit their current clinical practice David Thompson, DNSc, MS, RN Mr. Thompson is an Associate Professor, educator and clinical and health outcomes researcher at the Johns Hopkins Armstrong Institute for Patient Safety and Quality. Dr Thompson is the Director of Patient Safety Education in the Division of Anesthesiology and Critical Care Medicine. His research concentration is in ICU patient outcomes, patient safety and quality improvement initiatives, adverse event reporting, and teamwork and communication tool development. Dr. Thompson is a recent recipient of a Robert wood Johnson Foundation Grant from the Interdisciplinary Nursing Quality Research Initiative (INQRI) program. He was principal investigator of this nursing driven intervention and Context of Care to Blood Stream Infection Reduction" This two year collaborative to reduce central line associated blood stream infections (CLABSI) and improve safety culture using the Comprehensive Unit-Based Safety Program (CUSP). The collaborative involved 45 ICUs from 33 Hospitals in 12 states. The study reduced blood stream infections by 81% in both samples. Dr. Thompson is Principal investigator/project manager for the Cardiothoracic Surgical Translational study, an Interdisciplinary cardiac surgery project to reduce hospital associated infections across each clinical area in 17 hospitals across the United States. Dr. Thompson is also currently a co- investigator serving as an expert in patient safety in a case- control retrospective analysis of adverse events in the Severely Mentally Ill (SMI) patient when hospitalized for somatic illness. Angie Malone, RN, MSN.OCN Clinical Nurse Specialist - Oncology Norton Suburban Hospital Louisville, Kentucky Teresa Back, RN, ICP Director of Infection Control and Employee Health Highlands Regional Medical Center Prestonsburg, Kentucky

VAP Collaborative Upon completion of this session, participants will be able to: Describe significance and prevalence of VAP Define the K-HEN aim statement as related to the VAP collaborative State at least one outcome and one process measure related to VAP Identify components of the VAP bundle Explore the data collection process for this collaborative Deborah R. Campbell, RNC, MSN, CCRN Ms. Campbell is an experienced nurse leader with exceptional outcomes in the areas of service, quality, people and financial stewardship. Ms. Campbell is recognized for encouraging staff involvement in unit decision making, promoting nursing as a profession through scholarly work and the development of a strong culture of safety. Ms. Campbell is committed to development of a healthy work environment and patient safety and is actively involved in quality improvement initiatives at the national level. Ms. Campbell currently works as a Cardiovascular Clinical Nurse Specialist for Pediatric Cardiology Associates and has recently joined the K-HEN Project at the Kentucky Hospital Association as a Nurse Consultant specifically working with the Stay FIT collaborative. Ms. Campbell completed her undergraduate working in Nursing at the University of Louisville and her Master of Science in Nursing at Bellarmine University. Dana Stephens BS MT CIC Director of Infection Control Saint Joseph East Richard Broaddus, RT Director of Respiratory Service Frankfort Regional Medical Center Frankfort, Kentucky

Learning from Defects Upon completion of this session, participants will be able to: Describe the four steps in analyzing adverse events Describe system based error and the steps used to evaluate the system defects in the workplace Develop a plan using the learning form defects tool to investigate a real adverse event from the clinical setting Identify essential steps using the Comprehensive Unit-Based Safety Program in improving the David Thompson, DNSc, MS, RN Mr. Thompson is an Associate Professor, educator and clinical and health outcomes researcher at the Johns Hopkins Armstrong Institute for Patient Safety and Quality. Dr Thompson is the Director of Patient Safety Education in the Division of Anesthesiology and Critical Care Medicine. His research concentration is in ICU patient outcomes, patient safety and quality improvement initiatives, adverse event reporting, and teamwork and communication tool development. Dr. Thompson is a recent recipient of a Robert wood Johnson Foundation Grant from the Interdisciplinary Nursing Quality Research Initiative (INQRI) program. He was principal investigator of this nursing driven intervention and Context of Care to Blood Stream Infection Reduction" This two year collaborative to reduce central line associated blood stream infections (CLABSI) and improve safety culture using the Comprehensive Unit-Based Safety Program (CUSP). The collaborative involved 45 ICUs from 33 Hospitals in 12 states. The study reduced blood stream infections by 81% in both samples. Dr. Thompson is Principal investigator/project manager for the Cardiothoracic Surgical Translational study, an Interdisciplinary cardiac surgery project to reduce hospital associated infections across each clinical area in 17 hospitals across the United States. Dr. Thompson is also currently a co- investigator serving as an expert in patient safety in a case- control retrospective analysis of adverse events in the Severely Mentally Ill (SMI) patient when hospitalized for somatic illness.